Rudolph Edward Balli, PA - Physician Assistant in San Antonio, TX

Rudolph Edward Balli, PA is a Physician Assistant - Surgical based in San Antonio, Texas. Rudolph Edward Balli is licensed to practice in Texas (license number PA03012) and his current practice location is 7400 Merton Minter St, San Antonio, Texas. He can be reached at his office (for appointments etc.) via phone at (210) 617-5104.

NPI number for Rudolph Edward Balli is 1568567337 and his current mailing address is 7400 Merton Minter Blvd, San Antonio, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568567337.

Contact Information

Rudolph Edward Balli, PA
7400 Merton Minter St,
San Antonio, TX 78229-4404
(210) 617-5104
(210) 617-5349

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Provider's Profile

Full NameRudolph Edward Balli
GenderMale
SpecialityPhysician Assistant - Surgical
Location7400 Merton Minter St, San Antonio, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1568567337
  • Provider Enumeration Date: 09/14/2006
  • Last Update Date: 01/21/2009

Medical Identifiers

Medical identifiers for Rudolph Edward Balli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568567337NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical PA03012 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rudolph Edward Balli is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Rudolph Edward Balli, PA
7400 Merton Minter Blvd,
San Antonio, TX 78229-4404

Ph: (210) 617-5300
Rudolph Edward Balli, PA
7400 Merton Minter St,
San Antonio, TX 78229-4404

Ph: (210) 617-5104

Reviews and Comments


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